Ese muganga wawe yaba yarakwandikiye umuti wa Phenytoin suspension cyangwa undi muntu wo mu muryango wawe urwaye indwara y'igicuri/isereri? Uyu ni umuti w'ingenzi cyane kandi umaze igihe kirekire ukoreshwa mu kurwanya ibisebe muri Sri Lanka no ku isi yose. Bityo rero ni ngombwa kumenya neza uyu muti mu gihe uwukoresha. Uyu munsi, turawuvugaho mu buryo bworoshye kandi mu buryo ushobora kumva.
Mu by'ukuri, Phenytoin ni iki?
Muri make, phenytoin ni umuti ugenzura imikorere y’uturemangingo tw’imitsi mu bwonko bwawe . Indwara yo gupfukama iterwa n’ubwiyongere butunguranye bw’imikorere y’imitsi mu bwonko. Bityo uyu muti ukora mu gutuza iyo mitsi no gukumira no kugenzura ipfukama. Rimwe na rimwe ushobora gukoreshwa ku zindi mpamvu z’ubuvuzi. Muganga wawe azagusobanurira ibi.
Ni ibihe bintu ngomba kubwira muganga mbere yo gutangira uyu muti?
Mbere yo gutangira fenitoyine, ni ngombwa cyane kubwira muganga wawe amateka y’ubuzima bwawe bwose. Menya neza ko wabibwiye muganga wawe niba ufite kimwe muri ibi bikurikira:
- Niba ufite ikibazo cy'inzoga .
- Niba ukomoka muri Aziya (hari ibintu bimwe na bimwe mu bigize imiterere y'umubiri bishobora kugira ingaruka ku buryo witwara ku miti).
- Niba ufite indwara y'amaraso cyangwa ikibazo cyo kuvura amaraso.
- Niba urwaye diyabete .
- Niba ufite indwara y'umutima cyangwa ibibazo by'umutima.
- Niba ufite indwara y'impyiko .
- Niba ufite indwara y'umwijima .
- Niba ufite indwara idakunze kugaragara yitwa Porphyria .
- Niba uri guhabwa imiti ivura kanseri hakoreshejwe imirasire .
- Niba ufite igitekerezo cyo kwiyahura , waba waragerageje kubikora mbere, cyangwa se ufite amateka yo kubikora mu muryango wawe.
- Niba urwaye indwara ya tiroyide .
- Niba ufite allergie kuri phenytoin cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa imiti irinda indwara.
- Niba utwite cyangwa ugerageza gutwita .
- Niba wonsa umwana wawe .
Guhisha aya makuru bishobora guteza ibibazo bikomeye. Bityo rero, ganira kuri ibi byose neza na muganga wawe.
Ni gute wakoresha umuti neza?
Kubera ko uyu ari umuti w'amazi, ni ngombwa cyane gupima ingano nyayo y'umuti.
- Kangura neza: Mbere yo gukoresha icupa ry'umuti.Buri gihe zunguza neza, kuko uduce tw'umuti dushobora guhagarara hasi mu icupa.
- Igipimo gikwiye: Koresha igikombe cyihariye cyo gupima, seringe, cyangwa seringe/ikiyiko/agakoresho ko mu kanwa byatanzwe na muganga wawe cyangwa farumasi kugira ngo upime umuti wawe. Ntupime ukoresheje utuyiko cyangwa ibiyiko byo mu rugo. Ntabwo ari byo.
- Ku gihe: Gerageza gufata umuti wawe mu gihe kimwe buri munsi. Ibi bizagufasha kugumana urugero rw'umuti mu maraso yawe.
- Ibiryo biriho cyangwa bitarimo: Ibi bishobora gufatwa mbere cyangwa nyuma yo kurya. Ariko, niba urwaye igifu, ni byiza kubifata hamwe n'ibiryo .
- Ntureke: Ntureke gufata imiti mu buryo butunguranye keretse muganga wawe abikubwiye. Kubikora byongera ibyago byo kugaruka kwangirika kw'imitsi.
Niba uha abana uyu muti, vugana na muganga wawe ku mabwiriza yihariye.
Oh! Bite ho iyo mfashe imiti myinshi? (Kunywa imiti irenze urugero)
Niba utekereza ko wagize byinshi kuruta uko wabitekerezaga, ntutinde .
Jya mu Ishami rishinzwe Ubuvuzi bw’Ibanze (ETU) ry’ibitaro biri hafi yawe. Nanone, niba bishoboka, hamagara Ikigo cy’Igihugu gishinzwe Amakuru ku Burozi mu Bitaro by’Igihugu bya Colombo kugira ngo ubagire inama. Ibi ni ingenzi cyane.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe . Ntukigere ufata dose ebyiri .
Ese hari indi miti idahuye n'uyu muti? (Imikorere y'imiti)
Yego rwose. Phenytoin ni umuti ushobora gukorana n'indi miti myinshi. Ibi bivuze ko iyo ufashwe n'indi miti, imikorere ya phenytoin ishobora kugabanuka, kwiyongera, cyangwa ingaruka mbi zikiyongera.
Bwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro) . Hasi hari imiti imwe ishobora gutera ibibazo bya phenytoin.
- Imiti imwe n'imwe igabanya ubukana bw'indwara ziterwa na virusi (itangwa ku barwayi ba VIH cyangwa Hepatite)
- Imiti irwanya fungal (urugero: `(fluconazole)`, `(ketoconazole)`)
- Indi miti ivura indwara zo mu mutwe (urugero: carbamazepine, aside valproic)
- Imiti ibuza amaraso kuzura (urugero: warfarin, aspirine)
- Imiti igabanya cholesterol (urugero: atorvastatin, simvastatin)
- Umuti wo kuvura ihungabana cyangwa imihangayiko
- Antibiyotike (urugero: `(doxycycline)`, `(chloramphenicol)`)
- Imiti ivura indwara zo mu gifu/igifu (urugero: imiti igabanya aside, omeprazole)
- Ibinini byo kuboneza urubyaro birimo imisemburo
- Ubwoko bwa steroid (urugero: `(prednisone)`)
- Inzoga
Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe imiti iyo ari yo yose ufata.
Ibintu ugomba kwitondera cyane cyane mu gihe ufata imiti
- Gusuzumwa buri gihe: Muganga wawe azagusaba gupimwa amaraso buri gihe. Ibi bizasuzuma urugero rwa phenytoin mu maraso yawe kandi birebe niba igipimo gikwiye kongerwa cyangwa kugabanywa. Ntugasimbuke ibi bizamini.
- Indwara zikomeye z'uruhu: Hari abantu bashobora kugira ingaruka zikomeye z'uruhu nyuma y'ibyumweru bike cyangwa amezi make batangira uyu muti. Bibwire muganga wawe ako kanya niba ufite umuriro, ububabare bw'umubiri, uduheri tw'uruhu dutukura cyangwa tw'umuhengeri, uduheri, cyangwa ibisebe mu kanwa, kubyimba mu maso cyangwa ku minwa, cyangwa uduheri mu ijosi cyangwa mu kwaha .
- Gusinzira no kuzungera: Uyu muti ushobora gutera gusinzira no kuzungera. Kubwibyo , ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umubiri wawe umenyera umuti. Witondere igihe uhagurutse mu buryo butunguranye uvuye mu mwanya wawe wicaye, cyane cyane niba ugeze mu zabukuru.
- Ibinini byo kuboneza urubyaro: Gufata phenytoin bishobora kugabanya ubushobozi bw'ibinini byo kuboneza urubyaro. Niba rero udafite gahunda yo kubyara, ganira na muganga wawe ku bijyanye no gukoresha ubundi buryo bwo kuboneza urubyaro (urugero: agakingirizo).
- Kubyimba ishinya: Iyi ni ingaruka zikunze kugaragara za phenytoin. Ishinya rishobora gukura mu buryo budasanzwe. Rero oza amenyo yawe neza buri munsi kandi usure amenyo yawe buri gihe .
- Kubura Vitamine: Gukoresha uyu muti igihe kirekire bishobora gutuma ingano nto ya Vitamine D na aside folike iba nkeya. Kubwibyo, ganira na muganga wawe ku bijyanye no kurya indyo yuzuye no gufata inyunganiramirire ya Vitamine nibiba ngombwa.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti iyo ari yo yose, phenytoin ishobora gutera ingaruka mbi. Zimwe muri zo ni mbi cyane, izindi zikaba zisanzwe.
| Ingaruka mbi | Ibisobanuro n'icyo gukora |
|---|---|
| Ibintu ugomba gutangariza muganga cyangwa ETU ako kanya | |
| Allergie ikomeye | Uruhu rushyushye, kuribwa, kubyimba mu maso/iminwa/ururimi, guhumeka bigoranye. |
| Ibimenyetso by'indwara y'umwijima | Kubabara mu nda yo hejuru iburyo, kubura ubushake bwo kurya, isesemi, amaso/uruhu ruhinduka umuhondo, inkari zijimye. |
| Indwara zikomeye z'uruhu | Umuriro, uherekejwe n'uduheri dutukura/dutukura ku ruhu, uruhu rukura, n'ibisebe byo mu kanwa. |
| Ibimenyetso by'uburozi bwa Phenytoin (Uburozi) | Ingendo z'amaso zidagenzuwe, kugenda bigoranye (kutagera ku murongo), kugorwa no kuvuga, gusinzira cyane, kugira isesemi/kuruka. |
| Impinduka mu mutwe | Ibitekerezo byo kwiyahura, kwiheba kwiyongera. |
| Kuva amaraso ku buryo budasanzwe | Gukomeretsa cyangwa kuva amaraso ku ruhu nta mpamvu. |
| Ibintu ugomba kubwira muganga wawe niba bikomeje cyangwa bikubangamiye | |
| Ingaruka zisanzwe | Gusinzira, isereri, kuribwa umutwe, kugorwa no kwibanda ku kintu. |
Ubutumwa bwo kujyana mu rugo
- Phenytoin ni umuti w'ingenzi cyane ugenzura uko uhagaze. Uwufate neza nk'uko muganga wawe akubwira, ku gipimo gikwiye, kandi mu gihe gikwiye.
- Mbere yo gutangira imiti, bwira muganga wawe indwara zawe zose n'indi miti yose ufata.
- Irinde ibikorwa bishobora guteza akaga mu gihe ufata imiti kuko bishobora gutera gusinzira no kuzerera. Irinde inzoga burundu.
- Niba ugize ingaruka mbi zikomeye nko kugira ibisebe bikomeye ku ruhu, ibisebe byo mu kanwa, amaso agahinduka umuhondo, cyangwa gusinzira cyane, shaka ubufasha kwa muganga byihutirwa.
- Ntugahagarike gufata umuti mu buryo butunguranye cyangwa ngo uhindure ingano y'umuti utabanje kugirwa inama na muganga.
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